NPC
So what’s with the super rare disease that Jax has been diagnosed with? If you don’t want to read much more than these first two sentences: its rare, approx 500 people have been diagnosed with Type C, no cure exists except medications to slow the progression of symptoms, and symptoms present with liver issues, lung problems, loss of muscle tone, vision changes, and neurological regression.
The site with the best information for those non-medical folks is the National Niemann-Pick Disease Foundation site.
This is copied straight from the site, but please visit and take a look for yourself.
“Niemann-Pick Disease Type C (NPC) is very different than Type A or B (ASMD). NPC Patients are not able to metabolize cholesterol and other lipids properly within the cell. Consequently, excessive amounts of cholesterol accumulate within the liver and spleen and excessive amounts of other lipids accumulate in the brain. NPC causes a secondary reduction of ASM activity, which led all three types to be considered forms of the same disease. There is considerable variation in when Type C symptoms first appear and in the progression of the disease. Symptoms may appear as early as a few months of age or as late as adulthood. Vertical gaze palsy (the inability to move the eyes up and down), enlarged liver, enlarged spleen, or jaundice in young children are strong indications that NPC should be considered. It is common for only one or two symptoms to appear in the early stages of the disease. In most cases, neurological symptoms begin appearing between the ages of 4 and 10. Generally, the later neurological symptoms begin, the slower the progression of the disease.
Type C Niemann-Pick Disease has an estimated 500 cases diagnosed worldwide. It is believed, however, that the number of people affected by NPC is higher, but diagnostic difficulties do not allow an accurate assessment of the occurrence rate. NPC has been initially diagnosed as a learning disability, mild retardation, “clumsiness,” and delayed development of fine motor skills. It is not uncommon for a family to spend several years seeking a diagnosis before NPC is identified. NPC is always fatal. The majority of children with NPC die before age 20 (many die before the age of 10). Late onset of symptoms can lead to longer life spans but it is extremely rare for any person with NPC to reach age 40.”
Jaxtyn presented with fluid around his belly (ascites) while in utero. He was closely monitored for two weeks and the fluid started to go away on its own. At birth the substantial amount of fluid that surrounded his belly was remarkably gone, and would have never been noticed without prior reason to check for it. He currently shows a few symptoms that are related to NPC. His liver is enlarged and he does have a little bit of jaundice. His bilirubin levels have been high since birth, and gets blood drawn frequently to monitor the trend. Without going over everyone’s head, bilirubin (you know, that orange-y/yellow color babies and adults turn) is the product of the breakdown of red blood cells within your body, the liver excretes this. Elevated levels indicate liver problems. Jaxtyn is currently being monitored by many many specialists: general pediatrician, developmental specialist including PT and OT, nutritionist, gastroenterologist who specializes in liver disease, a geneticist, cardiologist, and soon to be referred to a pulmonologist and neurologist. Most of these Dr’s have been asked if they have ever seen a child with NPC and many truthfully answer with “No”. Having all of these professionals on Jaxtyn’s case will not prevent symptoms from arising, but they can treat those symptoms and educate themselves on this disease for future studies and patients who may be affected. Jaxtyn has already been written up in a medical journal since NPC was confirmed while he was still in utero and it is never diagnosed that early. Ultrasound videos and pictures will be used to help other physicians in the study of this disease and the progression of research.
We remain positive throughout this process, it is literally new to EVERYONE involved in his care and we don’t know what to expect or when. God created this tiny human for a reason and we can already see how big of an impact he will make in this world.
In His Honor,
Momma and Jax
Thanks for following along with Jax and his momma!